NSG 6440 Practice Test / Random Study Guide
Rated A+
1). The most cost-effective screening test for determining hiv status is which of the
following?
western blot
enzyme-linked immunosorbent assay
venereal disease research laboratory test viral load
Ans: Enzyme-linked immunosorbent assay
2). Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of an inflammatory process?
erythrocyte sedimentation rate
white blood cell count polymorphonuclear cells
c-reactive protein (crp)
Ans: C-reactive protein (CRP)
3). Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
gaba
acetylcholine
dopamine
serotonin
Ans: Dopamine
4). Mrs. thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. the pain has increased following a day of
gardening one week ago. a physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
ecchymosis, edema, and erythema over the lateral epicondyle
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, pain at the elbow with resisted movements at the wrist and forearm
inability to supinate and pronate the arm
inability to flex or extend the elbow against resistance
Ans: Pain at the elbow with resisted movements at the wrist and forearm
5). Which of the following statements concerning the
musculoskeletal examination is true?
the uninvolved side should be examined initially and then compared to the involved side.
the part of the body that is causing the patient pain should be examined first.
when possible, the patient should not be asked to perform active range-of-motion (rom)
exercises to avoid causing pain.
radiographs should always be obtained prior to examination so as not to cause further
injury to the patient.
Ans: The uninvolved side should be examined initially and then compared to the
involved side.
6). Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
decreased c-reactive protein
hyperalbuminemia
morning stiffness
weight gain
Ans: Morning stiffness
7). Which causes the greatest percentage of mammalian bites?
dogs
cats
humans
rodents
Ans: Dogs
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, 8). A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. she is pale and states she can no longer exercise.
pelvic exam reveals a single, very large mass. which of the following diagnostic tests
should the clinician order first?
transvaginal ultrasound
endometrial biopsy mri
abdominal computed tomography scan
Ans: Transvaginal ultrasound
9). A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. which of the following responses would
be most appropriate?
"control of glucose will help postpone or delay
complications."
"regularly checking blood sugar will help establish a routine."
"monitoring glucose will promote a sense of control."
all of the above
Ans: All of the above
"Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
10). A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. on physical examination,
the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay
in relaxation in deep tendon reflexes. which of the following tests should be ordered next?
serum calcium
tsh
electrolytes
urine specific gravity
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, Ans: TSH
11). Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
insulin
metformin
glucotrol
precose
Ans: Glucotrol
12). During a dre on a 75-year-old man, the clinician suspects
the patient has prostate cancer. what physical finding should make the clinician
suspicious?
an enlarged rubbery gland
a hard irregular gland
a tender gland
a boggy gland
Ans: An enlarged rubbery gland
13). Eddie, age 4, presents to the ed with a live insect trapped in
his ear canal causing a lot of distress. what should be your first step?
remove the insect with tweezers.
immobilize the insect with 2% lidocaine.
sedate eddie with diazepam.
shine a light in the ear for the insect to "find its way out."
Ans: Immobilize the insect with 2% lidocaine.
14). What is the most common cause of microcytic anemia?
anemia of chronic disease
sideroblastic anemia
iron-deficiency anemia thalassemia
PaperStoc.com Page 4 of 39
Rated A+
1). The most cost-effective screening test for determining hiv status is which of the
following?
western blot
enzyme-linked immunosorbent assay
venereal disease research laboratory test viral load
Ans: Enzyme-linked immunosorbent assay
2). Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of an inflammatory process?
erythrocyte sedimentation rate
white blood cell count polymorphonuclear cells
c-reactive protein (crp)
Ans: C-reactive protein (CRP)
3). Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
gaba
acetylcholine
dopamine
serotonin
Ans: Dopamine
4). Mrs. thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. the pain has increased following a day of
gardening one week ago. a physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
ecchymosis, edema, and erythema over the lateral epicondyle
PaperStoc.com Page 1 of 39
, pain at the elbow with resisted movements at the wrist and forearm
inability to supinate and pronate the arm
inability to flex or extend the elbow against resistance
Ans: Pain at the elbow with resisted movements at the wrist and forearm
5). Which of the following statements concerning the
musculoskeletal examination is true?
the uninvolved side should be examined initially and then compared to the involved side.
the part of the body that is causing the patient pain should be examined first.
when possible, the patient should not be asked to perform active range-of-motion (rom)
exercises to avoid causing pain.
radiographs should always be obtained prior to examination so as not to cause further
injury to the patient.
Ans: The uninvolved side should be examined initially and then compared to the
involved side.
6). Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
decreased c-reactive protein
hyperalbuminemia
morning stiffness
weight gain
Ans: Morning stiffness
7). Which causes the greatest percentage of mammalian bites?
dogs
cats
humans
rodents
Ans: Dogs
PaperStoc.com Page 2 of 39
, 8). A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. she is pale and states she can no longer exercise.
pelvic exam reveals a single, very large mass. which of the following diagnostic tests
should the clinician order first?
transvaginal ultrasound
endometrial biopsy mri
abdominal computed tomography scan
Ans: Transvaginal ultrasound
9). A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. which of the following responses would
be most appropriate?
"control of glucose will help postpone or delay
complications."
"regularly checking blood sugar will help establish a routine."
"monitoring glucose will promote a sense of control."
all of the above
Ans: All of the above
"Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
10). A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. on physical examination,
the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay
in relaxation in deep tendon reflexes. which of the following tests should be ordered next?
serum calcium
tsh
electrolytes
urine specific gravity
PaperStoc.com Page 3 of 39
, Ans: TSH
11). Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
insulin
metformin
glucotrol
precose
Ans: Glucotrol
12). During a dre on a 75-year-old man, the clinician suspects
the patient has prostate cancer. what physical finding should make the clinician
suspicious?
an enlarged rubbery gland
a hard irregular gland
a tender gland
a boggy gland
Ans: An enlarged rubbery gland
13). Eddie, age 4, presents to the ed with a live insect trapped in
his ear canal causing a lot of distress. what should be your first step?
remove the insect with tweezers.
immobilize the insect with 2% lidocaine.
sedate eddie with diazepam.
shine a light in the ear for the insect to "find its way out."
Ans: Immobilize the insect with 2% lidocaine.
14). What is the most common cause of microcytic anemia?
anemia of chronic disease
sideroblastic anemia
iron-deficiency anemia thalassemia
PaperStoc.com Page 4 of 39
